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Psychological first aid. That's the mission of a new program within the Medical Society of the State of New York. It's called "Peer to Peer" and it's a way for doctors to counsel each other, especially as they try to manage the exhaustion and trauma brought on by COVID-19.Dr. Frank Dowling said the medical profession has been stressful from its onset. “You can find journal articles from 1850 talking about docs and depressions alcohol and suicide," Dowling said. Initiating the "Peer to Peer" program has been a career goal of his, a bucket list item.“Because we’re professionals, we expect ourselves to take all this in and, incorrectly in my view, not feel it and we have a professional demeanor,” Dowling said.Dr. Dowling says doctors are under immense pressure to not show the stress they take on. “Could you imagine a cardiac surgeon working on someone you love, bringing them to the emergency room saying 'OMG, I have a life in my hands?' So it gets pushed aside in its own natural way where people know how to do it and we do what we’ve got to do,” Dowling said.Add in insurance headaches, trauma, and then: 2020. And COVID-19. New York's medical system is still dealing with the stress of the pandemic.“Those stressors don’t stop because we have a pandemic, the pandemic adds to the burden of stressors that already exists,” Dowling said.Dr. Charles Rothberg chairs the Medical Society, State of New York's Committee on Physician Wellness and Resiliency. They've been working on the "Peer to Peer" program because physician burnout is not new. COVID-19 hit, and they knew it needed to get off the ground.“The program is essentially for people that are engaged in a stressful profession that from time to time find that their coping mechanisms are exceeded by the stressors they experience,” said Rothberg.There's been doctor suicides, addiction and financial problems, real life struggles, exasperated by the coronavirus. For doctors, there's often a stigma associated with the stress. “There was concern that physicians would not want to consult a peer for fear that they would be reported or trigger an obligation of a colleague to do the reporting,” Rothberg said.Peers, he says, should provide safety, comedy, a connection - and basic support. “A physician should know that they are doing a good job even if sometimes unexpected outcomes occur for example,” Rothberg said.Before they launched "Peer to Peer", they were working on ways to prevent and reduce doctor burnout. Ironically, that program was halted because of COVID-19. Which, then of course, made the burnout even worse."Peer to Peer" offers a number to call- 1-844-P2P-PEER and an email, p2p@mssny.org, to contact, 24 hours a day, 7 days a week, not for treatment, but casual conversation, to talk it out with someone who's going through the exact same thing. “Maybe to just share with a peer that this happened to me also and here’s how I responded to it a lot of the problems that people have are common to each other,” Rothberg said.Or, as Dr. Dowling puts it, head over to the zoom diner, meet a friend and take a load off. “I want the docs that we help in the peer to peer to get well, to get better, to love life again and love why they went into medicine," said Dowling. 3263

Republican Sen. Susan Collins, of Maine, is calling embattled EPA Administrator Scott Pruitt "the wrong person" to head the agency "on policy grounds alone."Collins voted against Pruitt's confirmation, and said Sunday on CNN's "State of the Union" that his actions on the environment, "whether it's trying to undermine the Clean Power Plan or weaken the restrictions on lead or undermine the methane rules," validate her decision.Pruitt has come under fire for a string of ethically questionable actions over the past year, including renewed questions over the amount he is spending on his large security detail?and over his travel and housing arrangements."This daily drop of accusations of excessive spending and ethical violations serve to further distract the agency from accomplishing its very important mission," Collins said. "I think Congress needs to do some oversight."Republican Sen. John Kennedy, of Louisiana, echoed the point in remarks on CBS's "Face the Nation," in which he recounted some of Pruitt's alleged actions."Well, Mr. Pruitt and other members of the President's Cabinet, I would say ethics matter, impropriety matters, the appearance of impropriety matters to the extent that you are, stop acting like a chuckle head, stop the unforced errors, stop leading with your chin," Kennedy said. "If you don't need to fly first class, don't. Don't turn on the siren on your SUV just to watch people move over. You represent the President of the United States. All of this behavior is juvenile. It's distracting from the business that we're trying to do for the American people."When CNN anchor Jake Tapper asked Collins if Pruitt should resign or be fired, the Republican senator said that is a position "only the President can take at this point," adding that "the Congress has no role" now that Pruitt has been confirmed.Trump so far has stood by?his embattled EPA chief, tweeting late Saturday, "Scott is doing a great job!" 1969

Reporters are pressing McConnell to discuss the presidential election/the President’s allegations, but McConnell keeps saying he has already said what he wanted to say. I asked: if Joe Biden wins, will there be a peaceful transfer of power? He did answer that one. @LEX18News pic.twitter.com/DQ3KTyHeq0— Karolina Buczek (@Karolina_Buczek) November 6, 2020 363

Price gouging continues to be a problem for Amazon shoppers, according to the U.S Public Interest Research Group (PIRG).A consumer watchdog says the price spikes are not based on normal supply and demand.“People are really struggling right now, and the last thing that they need to worry about is going to the store or going online and finding the products that they really need to keep themselves safe at ridiculous prices,” said Grace Brombach, a consumer watchdog associate with U.S. PIRG.U.S. PIRG found a wide range of products can cost two to 14 times more. For example, disinfecting wipes cost nearly on amazon, compared to about at other stores.They suggest making sure you know the average price and shopping around.As part of the HEROES Act, Congress passed price gouging legislation.Some states have bills to further define emergency products to fight price spikes. Still, U.S. PIRG expects this problem to continue.“We see situations like this come up in hurricanes and tornadoes, when people need to buy space heaters and electric lamps,” said Brombach. “And so, this will continue to be a problem going into the future if we don't address this issue now.”Early on in the pandemic, Amazon removed thousands of listings and third party sellers from its website for suspected price gouging.In August, Amazon said it was working to maintain its “fair pricing policy” while taking reasonable increases into account. 1439

Retailers and carriers are preparing for an online holiday shopping surge that could tax shipping networks and lead to delivery delays.FedEx and UPS are ramping up their holiday hiring while expanding their weekend operations and asking retailers to use their shipping network when there is more slack. And stores are pushing shoppers to buy early and are expanding services like curbside pickup to minimize the need for delivery.For the last few years, many retailers had been using their own physical stores, in addition to their distribution centers, to fulfill online orders. But now they are designating some of those stores to handle even higher volumes. Best Buy, for example, converted space in 250 of its 1,000 stores this fall to manage online orders.The moves come as most of the carriers have been at full shipping capacity for months as shoppers shifted their buying online during the pandemic.“We are warmed up for what we’re calling the ship-a-thon,” said Brie Carere, chief marketing and communications officer at FedEx. “Like everything else in 2